Active NPI
Kelly Inman Hull, PHARMD
- Pharmacist
- Mount Airy, NC
National Provider Identifier
1356986731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15879
- Practice address
- 901 N Main St
Mount Airy, NC 27030-3746 - Phone
- (336) 756-7855
- NPI assigned
- Nov 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15879 | NC | Primary |
Addresses
Primary practice location
901 N Main St
Mount Airy, NC 27030-3746
Mailing address
901 N Main St
Mount Airy, NC 27030-3746
Phone (336) 756-7855
Other practice location 1
1866 Haystack Rd
Mount Airy, NC 27030-9843
Phone (336) 756-7855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15879 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Main Health Investors Inc | Current | Accepting new patients | |
| Franklyn Health Investors Inc. | Current | Accepting new patients |
Locations
901 N Main St
Mount Airy, NC 27030
Phone (336) 401-2613
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba North Main Pharmacy
- Community/Retail Pharmacy
- Mount Airy, NC
- NPI 1760956080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573257600000",
"number": "1356986731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 N MAIN ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303746",
"telephone_number": "336-756-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N MAIN ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303746",
"telephone_number": "336-756-7855"
}
],
"practiceLocations": [
{
"address_1": "1866 Haystack Rd",
"address_purpose": "LOCATION",
"city": "Mount Airy",
"state": "NC",
"postal_code": "270309843",
"country_code": "US",
"telephone_number": "336-756-7855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HULL",
"first_name": "KELLY",
"middle_name": "INMAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-09",
"last_updated": "2019-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "15879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.